Early mobility is a paradigm shift, and the changes required to implement it require financial and managerial support. Beginning a mobility program might require:
These investments in patients’ lives can reap benefits for the hospital, too.
Administrators have a unique behind-the-scenes role in establishing and supporting an early mobility program.
From making the initial business case to helping different clinical roles gel into a true inter-professional team, administrators lay the groundwork for staff empowerment.
With administrative support, ICU clinicians can help their patients RISE.
Dr. Wischmeyer of Duke University gives an overview of the challenges associated with early mobility, and the importance of implementing protocols.
With any paradigm shift, stakeholders may want supporting evidence. Wake Forest University Hospital, Johns Hopkins Hospital, and the University of California San Francisco Medical Center have implemented early mobility programs using the Institute for Healthcare Improvement framework. All three hospitals reduced ICU length-of-stay and related costs.([FOOTNOTE=Net cost savings occurred when implementing early mobility as a quality improvement initiative using the Healthcare Improvement framework. Engel HJ, Needham DM, Morris PE, Gropper MA. ICU early mobilization: from recommendation to implementation at three medical centers.Crit Care Med. 2013;41:S69–S80. doi: 10.1097/CCM.0b013e3182a240d5],[ANCHOR=],[LINK=])
Every hospital is different. They have different patient populations, different specialties, different expenses. The best way to see if an early mobility program will benefit your hospital is with your own numbers.
Of the many reported barriers to implementing an early mobility program, half are structural, cultural, or procedural — not related to the patient’s physical condition.3 Administrators can address: